Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.38 / $904.50 / $988.00	Facility		$158.38	$904.50	$988.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.46 / $163.83 / $260.14	Professional		$157.46	$163.83	$260.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.72 / $156.72 / $156.72	Professional		$156.72	$156.72	$156.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $355.17 / $435.37 / $547.08	Professional		$355.17	$435.37	$547.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $210.04 / $261.07 / $519.48	Facility		$210.04	$261.07	$519.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $205.89 / $205.89 / $205.89	Professional		$205.89	$205.89	$205.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $126.32 / $160.01 / $175.03	Facility		$126.32	$160.01	$175.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $210.04 / $261.74 / $1,644,187.64	Facility		$210.04	$261.74	$1,644,187.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $156.72 / $478.80 / $2,400,000.00	Professional		$156.72	$478.80	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $872.64 / $1,190.78 / $1,341.28	Facility		$872.64	$1,190.78	$1,341.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $308.66 / $423.45 / $518.59	Professional		$308.66	$423.45	$518.59
United Facility/Professional Professional Modifier Low / Median / High Price $259.48 / $397.35 / $569.62	Professional		$259.48	$397.35	$569.62